Certified Coding Denials Specialist

Job Summary

A company is looking for a Physician Coding Denials Specialist.

Key Responsibilities

• Review and appeal coding denials for professional service claims related to Evaluation and Management coding
• Analyze trends in payer denials and provide feedback to improve clinical documentation and charge capture
• Communicate professionally with internal and external contacts regarding denial processes and appeals

Required Qualifications

• High school diploma or equivalent required
• 5 years of experience with certification within 90 days of employment
• Minimum 2 years of Healthcare Account Resolution or Physician billing experience, including professional coding experience
• Technical skills in Microsoft Office and EMR systems, specifically Epic
• Knowledge of medical terminology, ICD-10, and E/M coding